Method We monitored over a period of 10 years, 5 children (0–10 years) diagnosed with Kawasaki disease. Evaluation of patients included clinical exam, electrocardiogram, coronary ultrasound, exploring lipid metabolism, the inflammatory markers.

Conclusions Patients with at increased risk score who received methyl-prednisolone in the treatment although they have developed the coronary artery aneurysms they were small and declining rapidly in the evolution. Caution is recommended in the use of aspirin in patients with atopic risk. Koren risk score may guide appropriate treatment for each patient and is well correlate with the risk of developing coronary artery aneurysms in Kawasaki disease in children.

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